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Parent/Guardian Meal Charging Request Form

Please complete the form below. One form for each student. Required fields marked with an asterisk *

Today's Date (MM/DD/YYYY)*

Example: 03/08/2022

Answer Required

School your child is attending*

If your students attend different schools, please fill out a form for each individually.

Answer Required

High School

Middle School

Grandview Elementary

Parent/Guardian First and Last Name:*

Answer Required

Student Name:*

One student per submission please

Answer Required

DO NOT allow my child to charge a meal to their account

Answer Required

Breakfast

Lunch

Any/All

Other

Answer Required